Rationalizing Outcome Measures in Dermatologic Surgery

Murad Alam, Ian A. Maher, Joseph F. Sobanko, Simon S. Yoo, Mathew M. Avram, Hayes B. Gladstone, Andrei Metelitsa, Marian E. Northington, Zakia Rahman, Thuzar M. Shin, Todd V. Cartee

Research output: Contribution to journalReview articlepeer-review

Abstract

Dermatologic surgery, including cancer surgery, cosmetic surgery, and laser and energy device procedures, is a well-established branch of dermatology known for minimally invasive, effective, and safe solutions to patient problems. Over time, clinical research pertaining to dermatologic surgery has improved in terms of methodologic rigor, with dermatologic surgery accounting for a large proportion of the comparative effectiveness studies and randomized controlled trials in dermatology. Further improvements in the quality of studies examining dermatologic surgery therapies will require understanding and overcoming several remaining challenges.

Original languageEnglish (US)
Pages (from-to)140-146
Number of pages7
JournalCurrent Dermatology Reports
Volume4
Issue number3
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

Bibliographical note

Funding Information:
Research in cutaneous surgery is slowed by the scarcity of funding. Cosmetic procedures, and even cancer procedures, are studied mostly through small external grants and reserve internal monies derived from clinical income. Investigator-initiated device and drug-based studies may be funded by manufacturers and distributors of such, but such funding is limited and potentially skewed by corporate objectives. Small grants available from professional societies such as ASDS, AAD, and American Society for Laser Medicine and Surgery (ASLMS) may provide seed funds for starting investigations. Dermatology Foundation career development grants are designed to lead to external federal funding and occasionally do. Revenue generation from dermatologic surgeons continues to be integral to the financial health of many dermatologic departments, with this reducing the time and money available for dermatologic surgery research.

Publisher Copyright:
© 2015, Springer Science+Business Media New York.

Keywords

  • Clinical research
  • Complexity
  • Core outcome measure
  • Cosmetics
  • Dermatologic surgery
  • Funding
  • IMPROVED
  • Laser
  • Measurements
  • Methodology
  • Minimally invasive
  • Outcome
  • Primary outcome measure
  • Quantification
  • Randomized controlled trial
  • Rationalizing
  • Secondary outcome measure
  • Skin cancer surgery
  • Skin surgery
  • Validated

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